Motor Interventions for Children with Autism Spectrum Disorder: A Scoping Review

IF 0.7 Q4 REHABILITATION Therapeutic Recreation Journal Pub Date : 2023-10-19 DOI:10.18666/trj-2023-v57-i4-11995
Mildred Oligbo, Lisa Mische Lawson, Prasanna Vaduvathiriyan
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Abstract

Though not considered a core diagnostic criterion, most children with Autism Spectrum Disorder (ASD) present with motor impairments that persist into adolescence. In addition, compared to same-age peers, children with ASD participate less in physical, leisure, and recreation activities. The World Health Organization considers participation to be critical to quality of life. This scoping review presents the types of interventions used to address gross motor impairments, and the standardized outcome measures within the domains of the International Classification of Functioning, Disability and Health (ICF), used to evaluate the impact of the interventions. Results produced 17 articles and five types of motor interventions, including land-based exercise, motor physical activity interventions; sports-based, active recreation; movement-based mind-body interventions; equine or therapeutic horseback riding, and active video games/virtual and augmented reality. The interventions were provided by either a single discipline or an interprofessional team, with physical and recreational therapy being underrepresented as team members. Most studies used outcome measures in the body functions and structures, and activities domains of the ICF and few in the participation domain. The results of this study will be important to professionals for planning, implementing, and monitoring interventions for children with ASD.
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自闭症谱系障碍儿童的运动干预:范围综述
虽然不被认为是核心诊断标准,但大多数患有自闭症谱系障碍(ASD)的儿童表现出持续到青春期的运动障碍。此外,与同龄儿童相比,自闭症儿童较少参加体育、休闲和娱乐活动。世界卫生组织认为参与对生活质量至关重要。本综述介绍了用于解决大运动障碍的干预措施的类型,以及用于评估干预措施影响的国际功能、残疾和健康分类(ICF)领域内的标准化结果测量。结果产生了17篇文章和5种运动干预措施,包括陆上运动,运动身体活动干预;以体育为基础的积极娱乐;基于动作的身心干预;骑马或治疗性骑马,积极的视频游戏/虚拟和增强现实。干预措施由单一学科或跨专业团队提供,物理和娱乐治疗作为团队成员的代表性不足。大多数研究使用了身体功能和结构以及ICF活动领域的结果测量,很少使用参与领域的结果测量。这项研究的结果将对专业人员计划、实施和监测自闭症儿童的干预措施具有重要意义。
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